SHANE DANIEL BENSON

STATEN ISLAND, NY
NPI1417134016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
Enumeration Date2008-01-25
Last Update Date2008-01-25
Business Address
Mr. SHANE DANIEL BENSON
215 DRUM RD
STATEN ISLAND, NY 10305-5001
Phone number: 718-354-4414
Mailing Address
Mr. SHANE DANIEL BENSON
215 DRUM RD
STATEN ISLAND, NY 10305-5001
Phone number: 718-354-4414
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